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Other Breast Prosthesis

Utah rates for HCPCS L8039

Breast prosthesis, not otherwise specified

Rates data updated July 2026.

How much does Other Breast Prosthesis cost?

$46.77

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $46.77 for this service. Most negotiated rates run $46.77 to $776.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $776 · 10th to 90th $776 to $776Professionalmedian $47 · 10th to 90th $47 to $776
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $776professional $47

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$776.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$34.67
Typical High
$60.26
Select Health
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Select Health
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$5,011.87
Typical High
$5,011.87

Where Utah sits

The same service costs 16.6 times more in Oregon than in Hawaii. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Utah $46.77 · 41st of 51
OR $776HI $46.77

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.